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Risk Scoring in Health Insurance: A Primer
.................... 15 3.1.2 Medicare Managed Care ............................................... ... ............................ 18 3.4 Affordable Care Act (ACA) .....................................- Authors: Geoffrey Hileman, Syed Mehmud, Marjorie Rosenberg
- Date: Jul 2016
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks
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A Comparative Analysis of Claims-Based Tools for Health Risk Assessment
and its technical work sometimes includes the direct use and review of risk adjusters and their application ... processof adjusting health plan payments, health care provider payments and individual or group premiums ...- Authors: Leigh Wachenheim, Ross Winkelman, Syed Mehmud
- Date: Apr 2007
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Health & Disability>Health risks
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Uncertainty in Risk Adjustment
significance for Medicare Advantage, Medicaid managed care, and commercial health insurance plans. With national ... arrangement (e.g. Medicare Advantage or Medicaid managed care) or a provider organization under a global risk ...- Authors: Syed Mehmud, Rong Yi
- Date: May 2012
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks